Individual
DIANE ALTHEA MAGNUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
700 W MARKET ST, ATHENS, AL 35611-2457
(256) 233-9146
(256) 233-9272
Mailing address
PO BOX 999, ATHENS, AL 35612-0999
(256) 233-9146
(256) 233-9272
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
823
AL
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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